Kenneth Yale Davis in Ridgewood - Chiropractor

Kenneth Yale Davis - NPI 1073732509

Kenneth Yale Davis is a Chiropractor in Ridgewood, New Jersey. Kenneth Yale Davis practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kenneth Yale Davis is 1073732509. The last update date is 2011-11-21.

Kenneth Yale Davis's current location address is 60 W Ridgewood Ave, Ridgewood, New Jersey. You can contact this provider via phone number 2016522554 and fax number 2016521708. The mailing address for Kenneth Yale Davis is 60 W Ridgewood Ave, Ridgewood, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Yale Davis
Address 60 W Ridgewood Ave, Ridgewood, New Jersey
Phone Number 2016522554
Fax Number 2016521708
Sole Proprietor Y
Credentials D.C. P.C.

NPI Number Detail

NPI Number 1073732509
Provider Enumeration Date 2007-04-24
Last Updated Date 2011-11-21

Provider Mailing Address Detail

Address 60 W Ridgewood Ave
City Ridgewood
State New Jersey (NJ)
Post Code 74503197
Phone Number 2016522554
Fax Number 2016521708

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No NJ1600
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P2059267 NJ OXFORD

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FAQs about Kenneth Yale Davis

What is the unique provider identifier assigned to Kenneth Yale Davis?

The Kenneth Yale Davis has been issued the NPI (National Provider Identifier) 1073732509 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Kenneth Yale Davis's facilities are geographically located?

The facilities of Kenneth Yale Davis are physically situated at the following location: 60 W Ridgewood Ave, Ridgewood, NJ, 74503197.

What is Kenneth Yale Davis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kenneth Yale Davis is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.

On what date did Kenneth Yale Davis receive its 1073732509 assignment from the Centers for Medicare & Medicaid Services?

The Kenneth Yale Davis was assigned its 1073732509 on 2007-04-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Kenneth Yale Davis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kenneth Yale Davis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-11-21.

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